| Jon W. Nakamura, M.d., Inc. | |
|
4374 Kukui Grove St Suite # 102 Lihue HI 96766-2007 | |
| (808) 246-6253 | |
| (808) 245-7215 |
| Full Name | Jon W. Nakamura, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4374 Kukui Grove St, Lihue, Hawaii |
| Authorized Official Name and Position | Jon Nakamura (PRESIDENT) |
| Authorized Official Contact | 8082466253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon W. Nakamura, M.d., Inc. 4374 Kukui Grove St Suite # 102 Lihue HI 96766-2007 Ph: (808) 246-6253 | Jon W. Nakamura, M.d., Inc. 4374 Kukui Grove St Suite # 102 Lihue HI 96766-2007 Ph: (808) 246-6253 |
| NPI Number | 1457785602 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 08/23/2013 |
| Medicare PECOS PAC ID | 7911130844 |
|---|---|
| Medicare Enrollment ID | O20140506002141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457785602 | NPI | - | NPPES |
| 00K009442-1 | Other | HI | HMSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MD-6950 (Hawaii) | Primary |
| Provider Name | Jon W Nakamura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215059704 PECOS PAC ID: 8123041118 Enrollment ID: I20060105000015 |
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